Tosa Medical Group LLC

Tosa Medical Group LLC was paid $38K by Medicaid between Jan 2018 and Dec 2019, across 7 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 63% of everything it billed.

33Billing provider infoTOSA MEDICAL GROUP LLC
WAUWATOSA, WI 53226

33aNPI1770720765assigned 01/13/2009

33bProvider typeInternal Medicine Physician

28Total paid$38K

24GClaims3,242

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Internal Medicine Physician providers in Wisconsin

Rank by total paid#53 of 160

Median peer was paid$6K

This provider vs. median6.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	1,968	$23K
2019	1,274	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99308	Subsequent nursing facility care, per day, straightforward	63%	2,301	2,211	$24K
99306	Prolong nursin fac eval 15m	19%	377	353	$7K
99309	Subsequent nursing facility care, per day, low to moderate complexity	13%	393	380	$5K
99305		1.9%	39	37	$713.94
99307		1.5%	101	90	$574.50
99316		1.2%	16	14	$460.80
99315		<1%	15	14	$292.37

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialDONIPARTHI, ANILKUMAR (PRESIDENT)